270-230-8839 Monday - Saturday 10:00 AM - 3:00 PM

Leitchfield Animal Shelter

List pets that you currently own: What are your Pets Names, Breeds, Male or Female *

If you do have a fenced yard, what type of fencing is used?

Chain Link

Cattle Fence

Electric Fence

Kennel

Privacy fencing

Yard is partially fenced

Under Ground dog Fencing

Planning on putting up a fence in the near future

Are your pets current on vaccines? *

Yes

No

Do you understand if we feel the animal you have chosen is not likely to work out in your situation, we may decline the application, FOR ANY REASON? We will work with you to reccomend an animal that best suits your needs. *

Yes

No

Why are you adopting a pet? *

Companion

Family Pet

Guard/Watch Dog

Companion for Another Pet

Hunting

Barn Cat

Gift

Other

Do you: *

Own

Rent

Live with Parents

Live with Friends

If you do not have a fenced yard, how will you supervise your pet when outdoors? *

Leash Walk

Run Loose

kennel

Chain Cable runner/Tie Out

Live on a Large Farm or rural Area

Electric Fence

I will be outdoors with my pet

Pet will not be outdoors

Drivers License #: *

Leitchfield Animal Shelter Adoption Application

How many acres is your farm?

Under 10 acres

10-50 acres

51-100 acres

100+ acres

I do not live on a farm.

Birth Date: *

Where will your pet be kept? *

House

Yard

Garage

Chain

Farm

Out Door Kennel

Cable Runner/Tie Out

Crate

For Whom are you adopting this pet? *

Self

Spouse

Friend

Boyfriend/Girlfriend

Children

Mom/Dad

Someone that lives in a different house

If the Submit Button is not highlighted, you missed a question that is required. Please review the form and answer each question as requested.

Do you live: *

In the City

In the Country

Best phone number to reach you.

Place of Employment: *

Have you adopted with us before? *

Yes

No

Have you surrendered a dog or cat to an animal shelter or rescue group? *

Yes

No

Address *

Do you agree to keep this pet on flea & tick preventative *

Yes

No

Landlord's Name and Phone Number: *

Do you have a fences yard?

Yes

No

If no, please explain why?

What is the estimated distance from your road to our house? *

Parent's Name and Phone Number: *

Thank you for taking the time to fill out our Online Application! We will contact you within 48-72 hours.

Do you understand that if ANY of the information on this application is found to be false, or if we find the animal you are adopting from us is not being given proper care (personal or veterinarian), we WILL reclaim the animal, this includes living situations not being the same as on this application? *

Yes

No

ABOUT WHERE YOU LIVE

If you are requesting the adoption of an animal that we feel needs a fenced yard or special attention do you agree that we may do a home visit before the animal goes home to verify that your home does have a fenced yard? *

Yes

No

Reasons you would return your adopted animal? Please check all that do apply: *

Aggressive Behaviors (such as biting, not good with kids

If the animal gets larger than expected

Chewing furniture or other non-chew toys

If dog is not house trained

If the children quit taking care of the pet

I would never give my pet up for any reason

If my family moves

Divorce

having a baby

Shedding

Allergies

If care for the animal becomes to time consuming

If the per has medical problems

Personal Health Issues

Quit using Litter Box

If dog is not leash trained

If yes, please explain (stray, divorce, etc.

If Yes, please indicate how many children and their ages: *

Pet History

Are/Were your current/previous pets current on yearly vaccines, such as Rabies? *

Yes

No

I have not owned any dogs

If you give up this pet for any reason, do you understand that you MUST bring the animal back to this shelter? *

List pets that you no longer have & Why (Be specific ` if they died, explain how, if they were given away, explain why) *

Do you live within the Leitchfield City Limits? *

Yes I understand that Leitchfield City Code requires all pets to be licensed. $10.00 licensing fee will be added to my adoption fee.

No

Your Name & Pet Your Interested In: *

General Questions

Electronic Signature:

Date and time

Do you have a problem with us doing a follow up call or visit? *

Yes

No

Electronic Signature: Please type your name. *

Are/Were your current/previous dogs on heartworm preventative? *

Yes

No

I have not owned any dogs

What vet do you currently use or used in the past? Name and Phone Number: *

If yes, What did you adopt and how long ago?

Please check all that apply:

Do you understand it is mandatory that this pet be microchipped? This is already included in the adoption fee. *

Yes

No

Type of Dwelling: *

House

Condo

Apartment

Mobile Home

Are there any children in our household or ones that make regular visits to your home *

Yes

no

Shelter Care Insurance is a free 30 day health insurance that comes w/ the adoption of your new pet. Your new pet will be signed up for this insurance before he/she leaves the shelter, but you must acknowledge your membership via email for it to begin. This does not include all pets under the age of 8 weeks. *

Yes

No

Find Us On Social Networks

Location

Leitchfield Animal Shelter, Leitchfield Kentucky. We are an open intake facility for the City of Leitchfield. All domestic animals, stray or owner surrender, are welcome and will be adopted out after their hold time is up. For City of Leitchfield Animal Control and after hour emergencies, please call 270-259-0303. $10 nail trims. We have retail items for sale. People seeking volunteer or community service hours are welcome. Anyone under 18 must be accompanied by an adult.